MR. MICHAEL BACKUES MSM, ATC, PA-C
NPI 1114900131
Physician Assistant in Columbia, TN

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
87.26/100
CMS Quality Rating
1224 TROTWOOD AVE, COLUMBIA, TN 38401(931) 381-1111 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2020, Jun 20, 2019, Jun 15, 2019 (3 updates tracked since 2019).

About Mr. Michael Backues Msm, Atc, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL BACKUES MSM, ATC, PA-C (NPI 1114900131) is an individual physician assistant in Columbia, Tennessee, licensed in Tennessee (2267) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1114900131
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL BACKUESCredential: MSM, ATC, PA-C
Location Address1224 TROTWOOD AVEColumbia, TN 38401-4802
Mailing Address1224 Trotwood AveColumbia, TN 38401-4802
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 23, 2005
Last NPPES UpdateJanuary 9, 20203 updates tracked since enumeration
NPI 1114900131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 2267
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 627 (TN)
1224 TROTWOOD AVE, Columbia, TN 38401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Backues Msm, Atc, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597918292
PECOS Enrollment IDI20130109000039
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
235 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services71 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
37 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.97
Promoting Interoperability85.91
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Physician Assistant
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Pediatrics
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Physical Therapist
1224 TROTWOOD AVE
COLUMBIA, TN 38401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Backues's NPI number?

The NPI number for Michael Backues is 1114900131. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Michael Backues located?

Michael Backues practices at 1224 Trotwood Ave, Columbia, TN 38401. The listed phone number is (931) 381-1111.

What is Michael Backues's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Backues enrolled in Medicare?

Yes. Michael Backues is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Backues accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Michael Backues as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Backues was last updated on January 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.